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Managed Care/HMO/Insurance Biller and Collections

Paragon Management SNF
Baldwin, NY Full Time
POSTED ON 3/9/2024 CLOSED ON 4/28/2024

What are the responsibilities and job description for the Managed Care/HMO/Insurance Biller and Collections position at Paragon Management SNF?

Managed Care/HMO/Insurance Biller and Collections

Monday – Friday · 9:00am -5:00pm

DESCRIPTION OF DUTIES:

  • Check Eligibility via Insurance Websites and/or Telephone
  • Billing/collection
  • A/R follow-up unpaid or denied claims
  • Phone calls to insurance, request for Reprocessing
  • Denials, Insurance Appeals

Responsibilities:

  • Claims follow-up
  • Working denials
  • Determining appropriate next steps based on AR & Aging Reports
  • Reading and interpreting EOBs
  • Sending Corrected Claims
  • Calling insurance companies at various stages of the claims process

Experience:

  • Experience in Insurance & MLTC billing preferred
  • Additional Skills:
  • Excellent communication skills
  • Confidence talking on the phone to patients and insurance representatives
  • Good writing skills
  • Ability to multi-task and work in a fast-paced environment without getting distracted
  • Self-starter but able to work on a team and take direction
  • Understanding of General Ledger
  • Posting of Payments

Compensation:

  • Competitive salary
  • Excellent Benefits Package (medical, dental, vision, 401K)
  • Paid Time Off

Job Type: Full-time

Salary: $60,000-$80,000 annually

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
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